Iatrogenic hypoparathyroidism – not only after thyroid surgery…
Journal Title: Postępy Nauk Medycznych - Year 2015, Vol 28, Issue 12
Abstract
The most common causes of hypoparathyroidism are iatrogenic: mostly thyroid orparathyroid surgery. Much less frequently HypoPT is caused by an extensive oncologicalsurgical procedure e.g. because of larynx or upper throat cancer, or external neck radiotherapy,e.g. in the case of lymphoma. In those particular cases, both patients and doctorsfocus their attention on the oncological nature of the disease itself, which often results inneglect of other health hazards, and potentially poor prognosis, and short survival timein those cases additionally mask the problem. However, in individual patients cured fromcancer, unrecognized hypoparathyroidism can significantly affect their health and qualityof life. Two such cases are presented. To our knowledge, the cases presented by us arethe first cases diagnosed after such a long time after laryngectomy or radiation therapy.This may indicate that other patients undergoing such treatment could be exposed tothis rare complication as well, regardless of the time that elapsed after the treatment. Thisimplies the need for systematic monitoring of serum calcium, as well as for enhanced diagnosisin the case of even the slightest clinical suspicion of hypoparathyroidism.
Authors and Affiliations
Agnieszka Łebek-Szatańska, Waldemar Misiorowski, Wojciech Zgliczyński
Keywords
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